Demographic Page - Summer School 2017

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2017 Summer School Registration Form
All class run Monday, June 19 - Friday, July 21 (except July 3, 4 and 5)

Please fill out one demographic page for each child you are signing up for summer school. After filling out the demographic page, you will be linked to the course offerings page. This page is organized by the grade level that your child is going into for the 2017 - 2018 school year.

Student's Last Name *

Student's First Name *

Student ID (Lunch code)

Parent's email contact *

Parent's best phone number contact *

Emergency Contact *

School that child attends *

Canterbury

Highland View

College Park

Middle School

Other:

Grade student will be entering *

Does child live in Greendale? *

Yes

Is child in the Open Enrollment program? *

Yes

Is child in the 220 program? *

Yes

Does the student have an IEP? *

Yes

I know my child will miss the following days of summer school due to a prior commitment.

Does the student have any allergies? *

Yes

Please list any allergies.

Please explain any other medical conditions we should be aware of.

Submit

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